Mcnulty, John Michael

Mcnulty, John Michael is an individual health care provider with primary practice located at 229 S 8Th St St Maries Family Medicine, St Maries ID 83861-1813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mcnulty, John Michael can be contacted via phone (208) 245-2591.

Contact Information

Primary practice address
229 S 8Th St St Maries Family Medicine St Maries ID 83861-1813
Phone: (208) 245-2591
Fax: (208) 245-5246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M7646 Idaho

Profile Details

NPI number 1043207418
LBN Legal business name Mcnulty, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Mar 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043207418 NPPES
Idaho Other 27805 BLUE CROSS OF ID
Idaho Other 000010000790 BLUE CROSS OF ID
Idaho MEDICAID 1043207418 BLUE CROSS OF ID
Idaho MEDICAID 8343854 BLUE CROSS OF ID
Idaho Other 124834 BLUE CROSS OF ID

Popular Providers